| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.00 | $318.00 | $324.36 | |
Aetna
| Professional | $318.00 | $318.00 | $343.44 | |
BCBS
| Facility | $318.00 | $369.01 | $624.33 | |
BCBS
| Professional | $318.00 | $318.00 | $427.01 | |
Cigna
| Facility | $306.11 | $318.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $330.00 | |
United
| Professional | $318.00 | $318.00 | $362.52 |